SAQA

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SOUTH AFRICAN QUALIFICATIONS AUTHORITY

REGISTERED QUALIFICATION:

Master of Philosophy in Adult Critical Care

SAQA QUAL ID	QUALIFICATION TITLE
118434	Master of Philosophy in Adult Critical Care
ORIGINATOR
Stellenbosch University
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY			NQF SUB-FRAMEWORK
-			HEQSF - Higher Education Qualifications Sub-framework
QUALIFICATION TYPE	FIELD		SUBFIELD
Master's Degree	Field 09 - Health Sciences and Social Services		Curative Health
ABET BAND	MINIMUM CREDITS	PRE-2009 NQF LEVEL	NQF LEVEL	QUAL CLASS
Undefined	180	Not Applicable	NQF Level 09	Regular-Provider-ELOAC
REGISTRATION STATUS		SAQA DECISION NUMBER	REGISTRATION START DATE	REGISTRATION END DATE
Reregistered		EXCO 0821/24	2021-11-18	2027-06-30
LAST DATE FOR ENROLMENT		LAST DATE FOR ACHIEVEMENT
2028-06-30		2031-06-30

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.

This qualification does not replace any other qualification and is not replaced by any other qualification.

PURPOSE AND RATIONALE OF THE QUALIFICATION

Purpose:
The Master of Philosophy in Adult Critical Care requires a high level of theoretical engagement and intellectual independence and the ability to relate knowledge to resolve complex problems. The research project will require innovative or professional expertise through independent study.

The purpose of the qualification is that the learners will:

Acquire a high level of theoretical knowledge as well as practical skills and experience in the field of critical care medicine, via appropriate assimilation and analysis of new information, the ability to find workable solutions to problems and challenges, as well as the practical application of knowledge accrued.

Prepare learners for a career as intensive care specialists (specialist intensivists [professional employment]).

Acquire the necessary skills to identify key research opportunities, initiate well-structured research studies, complete such studies, and apply the results thereof.

Move to a higher level of academic research work and promote an approach based on academic integrity and professional ethics.

Contribute to the pool of academics and professionals with the competence and critical intellectual abilities to ensure advancement in the field of critical care medicine and to make provision for the country's needs in a skilled scientific workforce of the highest calibre.

Apply their skills to the task of answering the relevant questions and meeting the critical needs of the country.

Upon completion of this qualification, learners will achieve the following outcomes:

Identification of complex problems and solving of problems through critical and innovative thinking, responsible and independent decision-making, and application of basic and advanced scientific methods.

Efficient and responsible application of basic and advanced scientific methods and technology.

Efficient management of the collection, organisation, analysis, evaluation, integration and application of information from various sources, including advanced databases.

Competent and efficient personal organisation and self-management to ensure independence at an advanced level.

Personal self-development with emphasis on insight, responsibility, accountability, continued learning, self-criticism, acceptance of criticism from others, and the ability to work independently at a high level.

The ability to work as part of a team and to add value to the larger group through constructive collaboration, cooperation and self-initiated new actions.

Effective communication through the competent presentation of information and data through oral, audio-visual and written skills and by demonstrating appropriate graphical, statistical, linguistic and computer proficiency at a high level.

Development and demonstration of a holistic approach to problem-solving within the context of respect and sensitivity for other people, the community, and the environment.

Conceptualising the importance and the potential applications of health sciences in general and critical care in particular to the community through the communication of knowledge and results and the transfer of relevant technology.

Knowledge of the opportunities, challenges, requirements and ethical principles that apply to research and good practice in the health science professions at an advanced level.

Qualifying learners will have the ability to:

Function as an intensivist and adequately take care of patients who are critically ill and requiring organ support.

Independently design a clinical (or basic science) research project, to obtain ethical approval, to obtain funding, to perform such a project, to present the results and conclusions in a scientific format, and to accept the responsibility and
accountability for the performed work within the context of critical care medicine.

Work independently on assignments, including research projects which require the appropriate theoretical and practical skills.

Critically evaluate and utilise a wide range of basic and complex information to solve problems effectively using appropriate methods that are relevant to critical care medicine and to communicate knowledge, findings and potential implications to other people.

Furthermore, the learner will have a sound and systematic knowledge of the theoretical aspects of the subject matter as defined for the clinical syllabus as well as the selected research project.

Rationale:
Critical care medicine is a relatively new but much-needed sub-speciality in South Africa. With sepsis being a global endemic disease and trauma a local endemic disease, South Africa is at the forefront of caring for this diverse population. Beyond excellent clinical care, the institution needs to instil a culture of clinical research to define the epidemiology, clinical manifestations and appropriate management within the field of critical care in lower-middle-income countries (LMIC).

The establishment of the consolidated critical care unit within the department of anaesthesiology and critical care is in its early stages. At present, a critical care advisory committee has been formed which serves to guide and facilitate the creation of this division. This committee is well represented by the departments of anaesthesiology and critical care, internal medicine and surgical sciences. Currently, the sub-speciality in adult critical care is recognised by the Health Professions Council of South Africa (HPCSA) and registration as an intensivist with the HPCSA is done upon the successful completion of the national exit examination. The need was identified for a formal qualification that focuses on specialist clinical training and research in the field of critical care, a need that will be filled with the introduction of this qualification.

This qualification aims to address the need to properly train clinicians with a thorough understanding of and experience in clinical research in the field of critical care medicine.
Learners may gain entry into the qualification upon registration with the HPCSA as either a specialist anesthesiologist/physician/emergency medicine/surgeon/obstetrician and gynaecologist and after completion of this qualification could focus further in this field in the form of a doctoral thesis.

LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING

Recognition of Prior Learning (RPL):
This qualification may be achieved in part through the Recognition of Prior Learning, which includes informal, formal learning and work experience. The learner must demonstrate competence in the knowledge, skills, values, and attitudes indicated in the qualification to obtain credits/credit exemptions. The qualification conforms to the Institution's Regulation for the Recognition of Prior Learning (RPL) and the Guidelines of the Faculty of Medicine and Health Sciences. The institution uses Recognition of Prior Learning (RPL) for access, advanced standing and credits.

RPL for access:

RPL for access is applied based on merit, where applicants do not meet the minimum admission requirements.

A learner will be considered for access in compliance with the institutional RPL Policy subject to the approval of the faculty committee, on the recommendation of the academic Head of Department and with notification to the Executive Committee of Senate.

RPL for credits or credit exemption:
A learner may be only be granted RPL for exemption for the credits of a qualification. Therefore, credit exemption with this qualification is applied as follows:

The applicant will be able to apply for the 45 credits of the research module: Critical Care Research Project.

RPL for exemption is applied on a limited scale at the postgraduate level in cases where learners request that formal, informal and/or non-formal learning be recognised in place of modules of a structured postgraduate qualification.

RPL for exemption will be accorded per module. Modules will be recognised where the curriculum, outcomes, credits and NQF level of the relevant module broadly match those of the required module in the qualification for which the learner wishes to enrol.

Recognition will also be accorded to modules where the content included additional work that exceeds the requirements of the envisaged qualification.

Entry Requirements:
The minimum entry requirement for this qualification is:

Bachelor of Emergency Medical Care, NQF Level 8.
Or

Bachelor of Science Honours in Obstetrics and Gynaecology NQF Level 8
Or

A relevant qualification in the related field, NQF Level 8.

RECOGNISE PREVIOUS LEARNING?

QUALIFICATION RULES

This qualification consists of the following compulsory modules at National Qualifications Framework Level 9 totalling 180 Credits.

Compulsory Modules, Level 9,180 Credits:

Critical Care Research Project, 45 credits.

Clinical Critical Care, 135 credits.

EXIT LEVEL OUTCOMES

1. Demonstrate the ability to function as an intensivist and to adequately take care of critically ill patients requiring organ support.
2. Independently design a clinical or basic science research project, to obtain ethical approval, to obtain funding, to perform such a project, to present the results and conclusions in a scientific format, and to accept the responsibility and accountability for the performed work within the context of critical care medicine.
3. Demonstrate a sound and systematic knowledge of the theoretical aspects of the subject matter as defined for the clinical syllabus as well as the selected research project.
4. Demonstrate the ability to make autonomous ethical decisions that affect knowledge production, or complex
organisational or professional issues, and the ability to critically contribute to the development of ethical standards in a specific context. Work independently on assignments, including research projects which require the appropriate theoretical and practical skills.
5. Evaluate and utilise a wide range of basic and complex information to solve problems effectively using appropriate methods that are relevant to critical care medicine and to communicate knowledge, findings, and potential implications to other people.

ASSOCIATED ASSESSMENT CRITERIA

Associated Assessment Criteria for Exit Level Outcome 1:

Manage common as well as less common organ dysfunction pathologies and solve clinical problems scientifically.

Show the clinical ability to adequately take care of patients who are critically ill and require organ support.

Identify, explain and use theoretical aspects of the subject matter as defined for the clinical syllabus.

Work independently as well as in multidisciplinary teams on critical care and assignments with the required theoretical, clinical and practical skills.

Evaluate and utilise a wide range of basic and complex information to solve problems critically.

Use appropriate methods that are relevant to critical care medicine.

Communicate knowledge, findings and potential implications to others (e.g. Patients, their families, members of the multidisciplinary team).

Associated Assessment Criteria for Exit Level Outcome 2:

Formulate clear, answerable research questions as they pertain to the discipline of critical care.

Decide on the most appropriate methodology to address the research question(s).

Find all relevant information, including research and review articles, textbooks, guidelines, by accessing Internet databases and employing appropriate search strategies.

Critically evaluate the relevant literature.

Write an appropriate literature review.

Formulate and write a research protocol.

Collect and analyse the data.

Draw logical, evidence-based conclusions from the data and evaluate them.

Present and defend the results of the research in an acceptable written scientific format.

Work independently on research projects which require the appropriate theoretical and practical skills.

Associated Assessment Criteria for Exit Level Outcome 3:

Display mastery of a complex and specialised area of knowledge and skills, with an exceptional critical awareness of current problems and/new insights at the forefront of the field of adult critical care.

Produce work of exceptional standard, reflecting on knowledge and understanding of material within the field of Adult Critical Care.

Associated Assessment Criteria for Exit Level Outcome 4:

Show a high level of employability skills, including teamwork/leadership, project management, creativity, and flexibility.

Communicate effectively using visual, mathematical and/or language skills in the modes of oral and/or written persuasion in a range of complex contexts.

Use a range of advanced and specialised skills and discourses appropriate to a field, discipline, or practice, to communicate with a range of audiences with different levels of knowledge or expertise. Demonstrate the ability to write at a publishable standard.

Demonstrate autonomy and originality in solving demanding problems in the field of Adult Critical Care.

Show high levels of consistency in planning and implementing tasks for assessment purposes, but also professional or equivalent level.

Identify and apply skills and attitudes needed to advance own knowledge and understanding of Adult Critical Care.

Evaluate and take autonomous ethical decisions and make effectual contributions to the development of ethical standards in the Adult Critical Care context.

Demonstrate an independent learning ability required for continuing professional development.

Associated Assessment Criteria for Exit Level Outcome 5:

Evaluate a range of literature related to current research and advanced scholarship in the discipline of Adult Critical Care.

Make use of appropriate academic conventions consistently.

Deal with a range of complex issues both systematically and creatively, making excellent judgements in the absence of complete data.

Analyse and interpret radiological imaging.

Act as a clinical critical care practitioner by completing basic and invasive monitoring procedures, including placing technical lines and devices, analysing and interpreting data derived from them and appropriately managing it in a critical clinical context.

Clinically manage common as well as less common organ dysfunction pathologies and solve clinical problems scientifically.

Show the clinical ability to adequately take care of patients who are critically ill and require organ support.

Identify, explain, and use theoretical aspects of the subject matter as defined for the clinical syllabus.

INTERNATIONAL COMPARABILITY

This qualification was compared against the following international qualifications:
Country: Australia.
Institution: University of Sydney,
Qualification Title: Master of Medicine in Advanced Critical Care Medicine
Similarities:

Both qualifications have a theoretical and practical component of clinical critical care.

Both qualifications require the applicant to be a qualified specialist in one of the following fields: anaesthesiology, surgery, internal medicine or emergency medicine.

Differences:
Whilst both qualifications have a theoretical and practical component of clinical critical care, the Master of Medicine in Advanced Critical Care Medicine may only be entered once the preceding qualification the Master of Medicine in Critical Care Medicine is completed. The Masters of Medicine in Critical Care Medicine is a clinical equivalent to the clinical critical care module in the proposed qualification.
The Australian qualification is a 1.5-year full-time qualification following the Master of Medicine in Critical Care Medicine which is a one-year full-time qualification. Thus the total duration of 2.5 years full time is required in comparison to the proposed qualification which would be a two-year full time, done concurrently with the training programme for the Certificate in Critical Care examination held by the CMSA.

Country: United Kingdom
Institution: University of Cambridge
Qualification Title: Master of Studies (MSt) in Clinical Medicine (Intensive Care)
Similarities:

Both qualifications are full time offered over 2 years.

Both qualifications require the applicant to be a qualified specialist in the fields of anaesthesia, surgery, medicine.

Both qualifications aim to increase vocational, academic and research training in the field of critical care medicine.

ARTICULATION OPTIONS

This qualification allows possibilities for both vertical and horizontal articulation.
Horizontal Articulation:

Master of Philosophy in Emergency Medicine, NQF Level 9.

Master of Philosophy in Gynaecological Oncology, NQF Level 9.

Master of Philosophy in Paediatric Critical Care, NQF Level 9.

Master of Philosophy in Critical Care, NQF Level 9.

Vertical Articulation:

Doctor of Philosophy in Critical Care, NQF Level 10.

MODERATION OPTIONS

N/A

CRITERIA FOR THE REGISTRATION OF ASSESSORS

N/A

NOTES

N/A

LEARNING PROGRAMMES RECORDED AGAINST THIS QUALIFICATION:

NONE

PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS QUALIFICATION:

This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.

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